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NAVASOTA NURSING AND REHABILITATION LP

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NAVASOTA NURSING AND REHABILITATION LP VS
Nursing Homes USA
General
City NAVASOTA   0% Nursing Homes USA have NAVASOTA
State attribute explanation TX   7.6% Nursing Homes USA have TX
Street 1405 E WASHINGTON  
Zip Code 77868  
Phone 9368256463  
Overall Star Rating
3.11
Health Inspections Star Rating
2.83
Nurse Staffing Star Rating
3.17
Quality Measures Star Rating
3.31
RN Only Star Rating
3.17
Number of Certified Beds
172 
108.94
Total Number of Residents
105 
91.25
Percent of Occupied Beds
61 %
83.65 %
Health Survey Date 3/10/2011  
Fire Survey Date 3/9/2011  
Sprinkler Status Fully Sprinklered  90.2% Nursing Homes USA have Fully Sprinklered
Program Participation Medicare And Medicaid  91.5% Nursing Homes USA have Medicare and Medicaid
Type of Ownership For Profit - Partnership  7.9% Nursing Homes USA have For profit - Partnership
Located Within a Hospital? No  93.6% Nursing Homes USA don't have Located Within a Hospital?
Multi Nursing Home Ownership? Yes  54.9% Nursing Homes USA have Multi Nursing Home Ownership?
Resident and Family Councils RESIDENT   66% Nursing Homes USA have RESIDENT
Continuing Care Retirement Community? No  90.9% Nursing Homes USA don't have Continuing Care Retirement Community?
Quality Indicator Survey? No  68.7% Nursing Homes USA don't have Quality Indicator Survey?
Special Focus Facility? No  99% Nursing Homes USA don't have Special Focus Facility?
Civil Money Penalty Count
75.2 
58.16
Total Enforcement Actions Count
75.2 
56.31
# of deficiencies
13 
7.48
Staff Information
Number of Residents
105 
91.38
Number of RN Hours Per Resident Per Day
0.3 
0.77
Number of LPN/LVN Hours Per Resident Per Day
0.74 
0.84
Total Number of Licensed Staff Hours Per Resident Per Day
1.04 
1.59
Number of CNA Hours Per Resident Per Day
0.01 
5.49
Number Therapy Hours Per Resident Per Day
0.01 
0.10
Environmental Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That The Nursing Home Area Is Safe, Easy To Use, Clean And Comfortable For Residents, Staff And The Public.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Keep All Essential Equipment Working Safely.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Deficiency #3 Scope: Many
level Of Harm: 2
deficiency: Have A Program That Investigates, Controls And Keeps Infection From Spreading.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Deficiency #4 Scope: Many
level Of Harm: 1
deficiency: Provide Housekeeping And Maintenance Services.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Mistreatment Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Keep Each Resident Free From Physical Restraints, Unless Needed For Medical Treatment.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Resident Rights Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Immediately Tell The Resident, The Resident's Doctor And A Family Member Of The Resident Of Situations (injury/decline/room, Etc.) That Affect The Resident.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Quality Care Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Use A Registered Nurse At Least 8 Hours A Day, 7 Days A Week.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Deficiency #2 Scope: Some
level Of Harm: 2
deficiency: Provide Activities To Meet The Interests And Needs Of Each Resident.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Resident Assessment Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Conduct Initial And Periodic Assessments Of Each Resident's Functional Capacity.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Administration Deficiencies
Deficiency #1 Scope: Some
level Of Harm: 2
deficiency: Make Sure That Nurse Aides Show They Have The Skills And Techniques To Be Able To Care For Residents' Needs.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Pharmacy Service Deficiencies
Deficiency #1 Scope: Few
level Of Harm: 2
deficiency: Safely Provide Drugs And Other Similar Products Available, Which Are Needed Every Day And In Emergencies, By A Licensed Pharmacist.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Nutrition and Dietary Deficiencies
Deficiency #1 Scope: Many
level Of Harm: 2
deficiency: Store, Cook, And Serve Food In A Safe And Clean Way.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Deficiency #2 Scope: Few
level Of Harm: 2
deficiency: Prepare Food That Is Nutritional, Appetizing, Tasty, Attractive, Well-cooked, And At The Right Temperature.
survey Date: 01/29/2010
date Of Correction: 02/28/2010 
Quality Measures Q1
Percent of long-stay residents who received an antipsychotic medication
28 %
25.09 %
Percent of long-stay residents whose need for help with daily activities has increased
75.2 %
32.95 %
Percent of long-stay residents who self-report moderate to severe pain
7.5 %
16.66 %
Percent of long-stay high-risk residents with pressure ulcers
7.5 %
12.58 %
Percent of long-stay residents who lose too much weight
1 %
11.83 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder 19.4:1 % 
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 %
15.63 %
Percent of long-stay residents with a urinary tract infection
75.2 %
13.46 %
Percent of long-stay residents who have depressive symptoms
2 %
28.38 %
Percent of long-stay residents who were physically restrained
75.2 %
43.68 %
Percent of short-stay residents who self-report moderate to severe pain
16.7 %
25.02 %
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.1 %
84.64 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
55.2 %
83.94 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 
45.90
Percent of long-stay residents experiencing one or more falls with major injury
2 %
15.52 %
Quality Measures Q3
Percent of long-stay residents who received an antipsychotic medication
29.2 %
25.39 %
Percent of long-stay residents whose need for help with daily activities has increased
3.1 %
23.70 %
Percent of long-stay residents who self-report moderate to severe pain
4.9 %
14.10 %
Percent of long-stay high-risk residents with pressure ulcers 8.1 / 8.8 % 
Percent of long-stay residents who lose too much weight
1.3 %
8.50 %
Percent of long-stay low-risk residents who lose control of their bowels or bladder
20.9 %
43.38 %
Percent of long-stay residents who have had a catheter inserted and left in their bladder
2.9 %
10.65 %
Percent of long-stay residents with a urinary tract infection
2 %
9.58 %
Percent of long-stay residents who have depressive symptoms 2.6 / 3 % 
Percent of long-stay residents who were physically restrained
75.2 %
38.53 %
Percent of long-stay residents experiencing one or more falls with major injury
1.9 %
10.73 %
Percent of short-stay residents who self-report moderate to severe pain 19.4:1 % 
Percent of short-stay residents assessed and given, appropriately, the seasonal influenza vaccine
74.1 %
81.44 %
Percent of short-stay residents with Pressure ulcers that are new or worsened
23.7 (74.7) %
74.75 %
Percent of short-stay residents who newly received an antipsychotic medication
75.2 %
17.34 %

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